Inspection Reports for Cogir of Queen Anne

The visit was an unannounced on-site complaint investigation conducted from 05/06/2025 through 05/14/2025 regarding allegations that the Assisted Living Facility did not properly position a resident contributing to skin breakdown and that the resident had medications not swallowed and left on dirty linens and clothing.

The investigation found the resident was bedbound and interventions were in place including home health visits and skin monitoring. Residents were clean and well cared for, and no violation of regulations was identified. However, the facility failed to ensure one of three residents took medications as prescribed, resulting in a missed dose of medication.

The complaint was substantiated in part: the resident was found to have missed a dose of medication left at bedside. No other violations or failed provider practices were identified.

The Department conducted a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to food sanitation.

The follow-up inspection on 10/29/2024 found no deficiencies, indicating that previously cited food sanitation issues were corrected. Prior deficiencies involved failure to properly date refrigerated ready-to-eat foods, placing residents at risk of foodborne illness.

Complaint investigation from 06/04/2024 through 06/25/2024 regarding allegations of bad food, food not being delivered properly, and staff mistreatment. Investigation found failure to date opened food items but no evidence of foodborne illness or abuse. The complaint was unsubstantiated.

The inspection was conducted as a complaint investigation regarding allegations that the Assisted Living Facility took residents on an overnight trip without a medication technician or care provider, no one was CPR certified on the trip, a resident possibly went without medications, and a nurse was unaware a resident was on the trip.

The investigation found that two ALF residents went on an overnight trip with two Activity Department staff who were not caregivers and lacked CPR and first aid training. The residents took their medications as per policy, but the facility failed to ensure CPR and first aid trained staff were present off premises. One resident did not sign out properly, causing initial uncertainty about their whereabouts. The facility was cited for failure to meet CPR and first aid requirements.

The complaint investigation was substantiated with findings that the facility failed to ensure CPR and first-aid trained caregivers were present during an overnight trip involving ALF residents. The complaint involved four allegations related to staffing and resident safety on the trip.

The Department of Social and Health Services conducted a follow-up visit to the assisted living facility to address recurring deficiencies and impose a civil fine for violations related to food sanitation.

The facility failed to ensure refrigerated ready-to-eat foods were labeled with expiration dates and that pre-packaged foods were discarded by their best-by dates, placing 84 residents at risk for foodborne illness. This deficiency was recurring and uncorrected from previous citations on June 25, July 15, and August 22, 2024.

The Department of Social and Health Services conducted a follow-up visit to the assisted living facility to enforce compliance and impose a civil fine due to recurring violations.

The facility failed to discard two refrigerated ready-to-eat foods within seven days of preparation, placing 80 residents at risk of foodborne illness. This violation was recurring and previously cited on June 25, 2024, and July 15, 2024.

Complaint investigation conducted from 07/30/2024 through 08/22/2024 regarding allegations of delayed staff response to resident care needs, insufficient staffing, food quality concerns, high rent, and laundry availability issues.

The investigation found delayed call light response times placing residents at risk, deficiencies in service plans and assessments for multiple residents including medication monitoring and care coordination, failure to notify the department of administrator change, incomplete tuberculosis testing for staff, expired background checks, lack of signed service plans, unsafe environmental conditions including standing water near electrical equipment, and failure to respond timely to call lights for multiple residents.

Complaint investigation conducted from 07/30/2024 through 08/22/2024 regarding delayed staff response to resident care needs, insufficient staffing, food quality concerns, high rent, and laundry availability issues. Some allegations substantiated with citations.

The Department of Social and Health Services conducted a follow-up visit to the assisted living facility to address previously cited deficiencies and to impose a civil fine based on violations found.

The facility failed to ensure ready-to-eat foods were clearly labeled, dated, and safe for residents to consume in one kitchen, placing 84 residents at risk for food-borne illness. This deficiency was uncorrected from a prior citation on June 25, 2024.

The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to licensing laws and regulations.

The follow-up inspection found no deficiencies, confirming that the facility meets Assisted Living Facility licensing requirements and corrected prior deficiencies.

The Office of the State Fire Marshal conducted a fire protection inspection at the residential care facility Cogir Queen Anne (Brookdale Queen Anne) to assess compliance with fire safety codes and regulations.

The inspection found multiple deficiencies related to fire safety, including lack of documentation for fire drills, emergency plans, fire extinguisher inspections, and electrical hazards. Previous violations noted in earlier inspections have been corrected as of the latest inspection date.

The inspection was conducted as an unannounced on-site complaint investigation involving multiple allegations related to resident care, medication management, staffing, and facility conditions at the assisted living facility Cogir Queen Anne.

The investigation identified multiple failed provider practices including missed medications due to unavailability, slow call light responses, medication system issues including destruction without proper orders, lack of documentation for incidents and health events, and staffing concerns. Some allegations such as saturated briefs and hygiene neglect were not substantiated. The facility was found not in compliance with licensing laws and regulations.

The complaint investigation included allegations of saturated briefs, urine odor, missed medications, lack of call light response, inadequate hygiene and laundry, medication destruction without proper orders, lack of documentation for incidents and health events, slow emergency response, staffing shortages, and concerns about caregiver communication. Some allegations were not substantiated, but failed practices were identified related to medication availability, call light response times, and documentation.

The inspection was conducted in response to a complaint (#70821) regarding multiple false fire alarms following water damage at the facility.

A significant water leak occurred on 2/9/2023 from the fire sprinkler system on the 3rd floor, but the sprinkler and fire alarm systems were not activated. Several residents were relocated due to cleanup, no evacuations or injuries occurred, and the fire department responded. Recent fire alarm activations on 2/15/2023 were due to facility testing and repairs, with no unapproved conditions found.

Complaint #70821 involved multiple false alarms after water damage. The complaint was investigated by Deputy State Fire Marshal Jesse Ward on 2/23/2023 and found no faults with the alarm or sprinkler systems.

The Department of Social and Health Services completed an investigation at the assisted living facility Cogir Queen Anne, resulting in the imposition of civil fines due to violations of state regulations.

The facility was cited for multiple uncorrected deficiencies including failure to ensure proper medication management for a resident, lack of veterinary certification and vaccinations for pets, absence of emergency water supply, and incomplete national fingerprint background checks for staff, all placing residents at risk.

The Office of the State Fire Marshal conducted a renewal licensing inspection of the licensed Residential Care facility, Cogir Queen Anne (Brookdale Queen Anne), on 9/21/2022.

The facility was found to be non-compliant with multiple fire safety and maintenance requirements, including failure to maintain electrical safety, fire drills documentation, kitchen hood cleaning, fire alarm and suppression system servicing, emergency lighting, fire door inspections, and generator maintenance. The facility was disapproved due to these deficiencies.

R_Cogir_Queen_Anne_Complaint_11-22-2022_-_TAB.pdf